EARL DALE FAIN

HEMET, CA
NPI1740814797
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  RA9110918)
Enumeration Date2020-02-28
Last Update Date2020-02-28
Business Address
EARL DALE FAIN
39990 FAURE RD
HEMET, CA 92544-9408
Phone number: 951-708-4019
Mailing Address
EARL DALE FAIN
39990 FAURE RD
HEMET, CA 92544-9408
Phone number: 951-708-4019
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